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Contact Information

ELENA KORNIYCHUK, MD
10400 75TH ST
SUITE 315
KENOSHA, WI53142-7884
 Phone: 262-948-7815
 Fax: 262-948-7816
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ELENA KORNIYCHUK · (Female)

NPI Number 1932310661
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2007
Last updated 11/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 54938-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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